11D2101458 CLIA NUMBER - BARNEY'S PHARMACY-GROVETOWN

Laboratory Demographics

  • CLIA Code: 11D2101458
  • Facility Name: BARNEY'S PHARMACY-GROVETOWN
  • Facility Address: 5135 WRIGHTSBORO RD
    GROVETOWN, GA
    ZIP 30813
  • Facility Phone: 706 869-8535
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER ELLIS
  • NPI Number: 1679861454
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2101458
LAB Type Pharmacy
Facility Name BARNEY'S PHARMACY-GROVETOWN
Street 5135 WRIGHTSBORO RD
City GROVETOWN
State GA
ZIP 30813
Phone 706 869-8535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Pharmacy
Lab Director JENNIFER ELLIS

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This page was last updated on: 9/29/2025